Marissa Squillace, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

447 E Penn St
Long Beach, NY 11561-4439

Phone

(516) 400-6242

NPI assigned

Jan 31, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Invest in You Mental Health Counseling, P.C.

  • Mental Health Counselor
  • Long Beach, NY
  • NPI 1407520885
  Medicare reassignment NPD
• Grow With the Flow, Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Schenectady, NY
  • NPI 1063200368
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1619683844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 RESERVE CT",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123023537",
            "telephone_number": "631-835-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 E PENN ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614439",
            "telephone_number": "516-400-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUILLACE",
        "first_name": "MARISSA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sperling, PSY.D.
• Erin Rachel Spilberg, M.A. CCC-SLP
• Harlan B Spindler
• Melissa Anne Spinelli, OTR/L
• Jennifer Spitz, BCBA, LBA
• Mary Squillace, OT
• Leonard I Stambler, MD
• Eva M Stanger, R PH
• Jeffrey Mark Stanger, D.C.
• Dov Statfeld, MD

• Mental Health Counselor in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.